- 11 hours ago
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00:04It began after a bad case of viral meningitis when I was five.
00:08They tried every anti-seizure medication, but I still had episodes every few months or so.
00:15No one's ever noticed before. They just think I'm thoughtful.
00:19Are you driving?
00:21I couldn't until laser ablation to my left temporal lobe 12 years ago.
00:27And between that and the Keppra, I've been seizure-free, cleared by neurology to drive and to work as an
00:33attending.
00:36How long between the seizure you had today and the last one?
00:40It's been well over a year.
00:45But I had two today.
00:51I don't know why.
00:53It could be sleep deprivation, new job stress.
00:56I haven't had to deal with PEDS cases since Afghanistan.
01:01What are your options now?
01:05Up my Keppra or maybe try one of the newer anti-seizure meds.
01:10But if that doesn't work, I'm left with two choices.
01:13A temporal lobectomy, which could impair my speech,
01:17or get a neuromodulation device, which can sense and stop the seizures almost immediately.
01:23You need to disclose this.
01:25I know.
01:26I have a plan.
01:27Okay, Robbie.
01:28Dana's looking for you.
01:29She's in PEDS.
01:29Yeah, okay.
01:30I'll be right there.
01:32Sounds like you need an in PEDS.
01:33And I have patients to see.
01:35Robbie, Pregnant, one way, and the severe headache on our way in my ambulance.
01:39Find an amateur or nurse the president.
01:56You need to turn out your pockets.
02:04Show your hands.
02:34Come here, Arthur.
02:44What's going on?
02:46What's going on?
02:46Oh, sorry, false alarm.
02:47It doesn't expect a fever, but it was the wrong chart for my analogue, yeah.
02:52You know anybody in my concern, can you chip it down?
02:55Should I have to get some nurses qualified?
02:56Oh, look at me.
02:58Hey, can your staff keep an eye on Dr. Alice?
03:00She'll get to what she knows.
03:01Why?
03:03Uh, because I think she's tired and I don't want her to make any mistakes.
03:07Great advice.
03:08Maybe we should take it.
03:10Yeah.
03:10I'm going to go get some fresh air.
03:11Yeah, come for me while you're out there.
03:13You're lying.
03:14You don't know what to do.
03:14Screw you.
03:16In front of the baby, right?
03:22We are the nightcrawlers.
03:24We deal with the weirdest and the wildest because...
03:27We are the weirdest and the wildest of them all.
03:29That is right.
03:30Tonight they are really going to be crawling.
03:32Now go get some.
03:38Sorry to like you.
03:40I was thinking.
03:45Dr. Jack.
03:46You're supposed to be leaving.
03:49I am.
03:52Now, the spirit quest, to be honest, has a lot of people who are nervous around here.
03:56Everyone's going to be fine without me.
03:57It's hardly a spirit quest.
03:59Whatever it is, it seems you didn't keep any pressure and you might not be coming back.
04:02Well, who knows what the future has to do for any of us.
04:04Yeah, saying shit like that right there isn't helping.
04:07People are worried about you.
04:08Dr. Abbott, the patient is out 21 degree.
04:11He's missing again.
04:12It's not a condition problem.
04:13Not if he's ended up already.
04:19Best I can do under the circumstances.
04:21Thanks, Nick.
04:22Hey, don't leave me for you back, huh?
04:24Yeah, well, I feel like a liver now.
04:29Your friend fixing your bike?
04:30Ambulance clipped him.
04:31Well, I was just parked here today.
04:33Jesus Christ.
04:35It's a sign if I've ever seen one.
04:38Yeah, here's the thing.
04:39When people worry about you, it makes me think that I should be worried about you.
04:42And I don't like worrying about things.
04:44Oh, now you're a shriek.
04:45No, I'm trying to be your friend.
04:46You got Dana convinced that you're going to hurt.
04:48They didn't get her own issues.
04:49That sounds like projection.
04:50Are you seriously trying to have this fucking conversation with me right now, man?
04:54I'm not the one who spends the springtime getting shot at.
04:59Hey, Dr. Bobby.
05:00This is Judith Estraud.
05:0136 weeks pregnant with two days of headache.
05:04Now 10 out of 10 with blurred vision.
05:06BP 174 over 120.
05:08Heart rate 92.
05:09No relief of fentanyl.
05:10Judith, I'm Dr. Abbott.
05:11Any weakness in your arms or legs?
05:13No.
05:13No.
05:14Is this a stroke?
05:14We need to check for everything.
05:16You're a preeclampsia.
05:18Where are you doing your preeclampsia care?
05:20Nowhere.
05:21It's a wild pregnancy.
05:23I want a free birth.
05:27This 81-year-old man presents with the right itchy eyes with secretions for the past two days.
05:34The patient complained with no URI symptoms, no contact, many chemical aids, and exposures.
05:39Am I half a monster?
05:41Oh, no, thanks.
05:43I don't really want to stay awake any longer than I have to.
05:46Yeah, I hear you.
05:49Did you find your ID badge?
05:51No.
05:52You're any closer to deciding what's next for you?
05:55Yeah, it's your secret story of law school.
05:57What?
05:57What are you talking about?
05:58You're going to be a great doctor.
06:01I mean, no offense, but look what this place does to you.
06:05Langdon's an addict.
06:06He's a person with a substance use disorder.
06:09McKay was on house arrest.
06:11Dana the time bomb.
06:12Santos is one of the angriest people you were ever going to meet.
06:15Sarcastic, yes.
06:17Cynical, definitely.
06:17I don't know if she's...
06:18Mel?
06:21Samira has no life.
06:24I haven't seen a adrenaline junkie who gets shot at for fun.
06:27Robbie's got, like, PTSD or something.
06:30Way fucking honest.
06:30I mean, I'd hate to know what you think about me.
06:35I don't know.
06:36I just...
06:36The more time I spend here, the more I realize the importance of mental health.
06:45Just for patients and for us.
06:47And this is...
06:49Yeah.
06:51Well...
06:51You know, maybe that's what you should focus on.
06:55What?
06:56Mental health.
06:57Clearly, you have a passion for it, right?
07:01I would call it a passion.
07:03Call it like a...
07:07Oh, my God.
07:11You might be right.
07:15Oh, you're a genius with a girl.
07:17Okay.
07:20CTG is on.
07:21CTG?
07:22Call you a tachography.
07:23Measures the baby's heart rate and checks for contractions.
07:27Feel heart rate 128.
07:29Normal range, Nazely?
07:30110 to 160.
07:32So the baby's okay?
07:34Right now, yes.
07:35128 is reassuring.
07:37BP's 170 over 119.
07:39Six grams of magnesium money.
07:40Your next move, Cruz?
07:4220 on the beta-law, I'll have you push over two minutes.
07:45What's happening?
07:46Do you have a condition called preeclampsia?
07:48And how did that happen?
07:49Nobody really knows, actually.
07:51It affects about 10% of the pregnancies.
07:54High blood pressure, headaches, protein in the urine, and swollen ankles.
07:58Well, it's a wild pregnancy, so that means no medical care.
08:02Then why are you here?
08:05I just need to get rid of this headache.
08:10Well, if we don't lower your blood pressure and treat with magnesium, there can be problems.
08:16Like what?
08:17Seizures, bleeding, even death for you and the baby.
08:21Oh, my God.
08:23Rodney, you'll be our place for his account.
08:24Okay, I'll be right there.
08:26You good?
08:27Yeah, I'm good.
08:28I got it.
08:29My eye's closed.
08:31But I need one eye.
08:33Hey.
08:38Hey, Becca, how are you feeling?
08:39I'm better, thanks.
08:43Where are you?
08:44I'm at Alice's house.
08:46Can I call you later?
08:47We're watching a movie.
08:48Oh, sure.
08:49I thought you were going to see the fireworks.
08:51No, we just had to watch Alice's day.
08:54Ah, of course you did.
08:56Okay, I'll call you tomorrow.
08:58Mom, wait.
08:59Are you staying tonight?
09:01Um, uh, yes.
09:02If his parents have fired me.
09:04They need to ask me that.
09:06Are you staying here, too?
09:08No, they needed to ask if it's okay if you stay.
09:12Why?
09:15Because, uh, it's polite.
09:18It's the right thing to do.
09:21Um, I need to talk to them.
09:23Um, they're not here.
09:25They're at a barbecue.
09:26Okay, um, can you have them call me as soon as they get home?
09:30Yes.
09:31You promise?
09:32I promise.
09:32Okay, bye, ma'am.
09:34Bye, have fun.
09:36Thanks for fixing my bike.
09:38All right, keep me running.
09:39I'll keep her going.
09:42Do you know the Cree don't have a word for goodbye?
09:45You know a lot of Cree?
09:47A bit.
09:48I got around now.
09:50I don't get it.
09:53Look, I'll come back for all this other shit.
09:56Wait.
09:57If you promise to come back and then take the barney for a ride.
10:00Uh, I don't know.
10:02I've seen you ride on there.
10:03Fuck you.
10:04I mean it.
10:06We got a deal?
10:10I'll take it back.
10:26This looks like an ambush.
10:28Yes, I get a cup and chairs.
10:29Ice.
10:30No, we got a dead audience.
10:33Did we die out there?
10:34Poor devil checked in at five this morning.
10:36It was a DNR.
10:37What was his chief complaint?
10:38He runs in constipation.
10:39No shit.
10:40Hence the constipation.
10:42Tell me something.
10:43I'm going to hit it.
10:44Tell the night shift.
10:45I'm saying that's when he died.
10:46We all in agreement on that?
10:47To the grave.
10:48Just like poor Jasper.
10:50You're on fire.
10:51Just give him a second limb.
10:54How's the headache?
10:55Still the time.
10:57More fentanyl?
10:58Yep.
10:59Ficky's good.
11:00Another 50.
11:01Hey, Abbott.
11:02A 10-year-old resident are stuck in the OR.
11:04Oh, you're the next best thing.
11:06Better.
11:07Some will play.
11:07Hmm.
11:09What do you got?
11:09This is Judith.
11:10G1-P0.
11:11I'm prenatal care.
11:13Pre-eclampsia with severe hypertension.
11:15Hey, Judith.
11:15No scars on her movie.
11:17Some jelly on the belly.
11:18You can take a quick look with ultrasound.
11:20No, no, no.
11:20Ultraset can harm the baby.
11:22Not true.
11:23Not doing the ultrasound could end up harming you and the baby.
11:28Okay, just do it as best as you can.
11:31Why no prenatal care, Judith?
11:34I wanted a free birth.
11:37No doctors, no hospital, no medicine.
11:40You have a midwife?
11:42A birth heirloom?
11:43No.
11:44I don't need one.
11:45Women have been having children on their own for thousands of years.
11:48Yeah, we're going to need a thin mortality rate of 30% for most of those thousands of years.
11:52Finger learning 7 centimeters.
11:5437 weeks.
11:55No problem.
11:56What?
11:57No.
11:58No, no, no, no.
11:59Absolutely not.
12:00At 37 weeks, the cure for preeclampsia is to deliver the baby.
12:04We need to get you upstairs so the OB doctors can induce labor to save you and your baby.
12:08No.
12:09No.
12:10No.
12:13No.
12:23Is this dude dead?
12:25Nope.
12:27All right, Mr. Reed, time to take you back and get you checked out.
12:30He sure looks dead.
12:31Are you a doctor?
12:31No.
12:32But he has hyper-doctorology.
12:34It's no joke.
12:34Mm-hmm.
12:37Oh, sometimes I hate guards.
12:40Yes.
12:41Oh, wow.
12:53Crazy how muggy it still is out here.
12:56You, uh, you seen Robbie?
12:59Uh, not for a bit.
13:01You catch up on your chest from the beginning of the shift?
13:04Yeah.
13:05What are you still doing?
13:06Uh, kind of...
13:08You staying for the fireworks?
13:11Yeah.
13:11I was supposed to see that with Becca, but she is at her boyfriend Adam's family's house
13:18instead.
13:23Your sister seems like she's, uh, pretty put together.
13:29Yeah.
13:31Uh, a lot more than I realize.
13:34How's your day?
13:38I've had better.
13:41You?
13:45Yeah.
13:47But then again, I've had a lot worse.
13:51Hell, I did a closed cervical reduction of an hour ago.
13:53Oh, I heard.
13:54That must have been so intense.
13:57My hands are still shaking.
13:59Hey, um, do you think you could teach me how to do that sometime?
14:03Uh, yeah.
14:05Yeah?
14:05Yeah, sure.
14:06I mean, I hope you never have to use it.
14:07I could paralyze that guy.
14:09Yeah, but you didn't.
14:12No, I didn't.
14:17By the way, for talking me down earlier.
14:22I'm sorry I snapped.
14:26It's okay.
14:35Dr. Mohan, you ever heard of kinship fosters where a nurse or doctor can become an emergency
14:41woman?
14:41Oh, no.
14:42I don't need any kids.
14:43I need to find a dog first.
14:45Candace O'Grady is an 18-year-old female brought on by her son for a tractor of vomiting.
14:54Oh, I've already got one I can barely keep up with.
14:59What about Sleeping Beauty over here?
15:01She's already babysitting Whitaker.
15:03Well, you know anyone who'd like to help us out with baby Jane?
15:06Do I have them call the main desk?
15:07Sure thing.
15:09I'm taking myself, but did you tell me?
15:25Helps her.
15:26Amolytic anemia, elevated liver enzymes and low platelets.
15:29They're cleaning a room.
15:30We can bring her off in 10 minutes.
15:32How are you doing, Judith?
15:36I...
15:38Oh, she's easing.
15:40Shit.
15:41Ten of IV dias and Pam have another ten ready?
15:44With all the movement, we can't get a fetal heartbeat.
15:46Putting all 15 liters by mask.
15:47Should we intubate?
15:48Old intubation.
15:49Let's try to break this.
15:50We don't want a mask.
15:51It's easier than drought.
15:52Must be half.
15:58True CTG is agreed.
15:59Check it over.
16:00On it.
16:01Nazely, what's the diagnosis?
16:02Um, with a seizure, now with a crinthia.
16:06Fetal R rating is about 90.
16:08Way too low.
16:09Mom stats are going down.
16:10Found a tuber.
16:11Set up for a quick weight.
16:13Another ten of diazepam for four grams of Keppra.
16:26Hey, how are you guys making it up?
16:28We're getting there.
16:29Can we see Dr. Al soon?
16:31No.
16:31Can I talk to you for a sec?
16:39So, I just wanted to ask you to check it out for your online post.
16:41I was just trying to help get some help.
16:42I said it was not a nurse question.
16:43I did, right?
16:45Really good.
16:47You did?
16:48Yeah.
16:49Yeah.
16:50Keep it up.
16:52Okay.
16:53As long as you follow the hippo laws.
16:55I do.
16:56And wait until you've done charting.
16:58Sure.
17:02Actually, Dr. Al, I'm sorry.
17:04Can I ask you a question?
17:06Sure.
17:08I may be considering emergency psychiatry.
17:13Very cool.
17:15Think I could do it?
17:19I think that you can do anything that you put your mind to, Victoria.
17:29Close boxes, 88.
17:31Dr. Abbott?
17:33Intimate?
17:35Let's do it.
17:36Nazely, what do you suggest for rapid sequence induction?
17:39It's on my name, bro.
17:40Not quite.
17:41120 of propofol 60 sucks in a cold.
17:44Why is that?
17:45Propofol for the anti-seizure effect.
17:47Sucks to avoid the lung paralysis so we can check the neurons, Tim.
17:50Exactly.
17:50Pushing the propofol.
17:52Once you've got breast tissue, we need to displace the uterus to the left.
17:55Nazely, that's you.
17:55Big hug.
17:56Both arms.
17:56Get the baby off the venicator.
17:58Sucks is on board.
17:58After she's paralyzed, the seizing stops, right?
18:01It might look like that, but an ongoing seizure will still fry the brain.
18:05Monitor.
18:06EEG.
18:07Wait to see.
18:10Paralytics kicked in.
18:11Let's go.
18:11Roll it to her back.
18:14Intubate.
18:14Then EEG to see if her brain is still seizing.
18:18I need to first pass success.
18:19You and me both.
18:29Have you seen Dr. Alashimi?
18:31No.
18:32Have you seen Dr. Alashimi?
18:34Alashimi?
18:36I don't know if this day's going.
18:37She probably quit.
18:39I'm so sorry.
18:39She's in Peds with baby Jane down.
18:42No.
18:42I was just in there.
18:44You want me to play to?
18:46No.
18:47It's okay.
18:47I will find her.
18:53Hello.
18:57Hey, how do people do the deposition?
19:00Dr. Ellis is a pit bull.
19:02Dr. King is a petunia.
19:04They were pretty brutal with her.
19:06Discussive.
19:06Mary.
19:07I'm afraid it is a number.
19:09They want to call her back.
19:10Oh, that's unfortunate.
19:12Maybe I should get with you to break that news to her, actually.
19:14Mr. Gullis, come on.
19:15Hey, while I have you, can I pose a hypothetical to you?
19:19If a doctor suspects another physician of having a medical condition that can negatively affect
19:24the way they would treat a patient, we're disclosing that fall on the HIPAA violation
19:28scale.
19:30First, do no harm.
19:34Dr. King, do you have a second?
19:44Good.
19:45Good.
19:45Long sliding bilaterally.
19:46You don't hurt me borderline at 98.
19:49A little to the left again.
19:51That can help.
19:52One, two, three.
19:55Okay.
19:57All set here.
19:58The G-mine is good to go.
20:00That was fast.
20:02Still season while paralyzed.
20:03It's not a compulsive status.
20:06What's your ass so far?
20:0730 of diazepam full load of Mag-Ketron and Propofol.
20:10Damn, what's the next stuff?
20:11Any ideas?
20:13Hmm?
20:13Azeline?
20:15Dilantin?
20:16Valproate?
20:17Mmm, infusion is too long, so is onset of action.
20:19Push 100 of ketamine.
20:21That's had results with refractory status.
20:23She also has help syndrome.
20:25Hemoglobin only 7, platelets down to 30.
20:27Two units whole blood.
20:28Oneg is going up on the rapid infuser as we speak.
20:31Put the AV path on just in case.
20:33And 10 of decadron IV push for the inflammatory storm?
20:36She's a heart rate up to bottom floor.
20:37A little better?
20:39No.
20:39She should be upstairs, will be.
20:41She will be.
20:43After the great procedure.
20:45There was a delay in history taking the toe malfunctioning Bureau interpretation device.
20:51During this time, there was a normal CDC and comprehensive metabolic panel that came back from the lab.
20:59What's wrong with your malfeasance?
21:01I have to do another deposition.
21:04Oh, that sucks.
21:06You must really mess up.
21:08Dude, I'm joking.
21:10You got light in them.
21:11It's all bullshit.
21:16Fuck all this.
21:17Do you want to go get a drink?
21:19Me?
21:20Yes.
21:21You.
21:22You do go out, don't you?
21:25Well, I'm usually with Becca.
21:27Bring her along.
21:28Is she dark?
21:29No.
21:30She's with her boyfriend.
21:32Okay, Becca.
21:35That's just you and me.
21:39Do you like karaoke?
21:42You do karaoke?
21:44Well, what I do is more like primal screen therapy.
21:48There's nothing like getting wasted and just absolutely wailing to shake off the shit she'd like today.
21:54I could use a fun night.
21:57You and me, boss, sister.
22:00There has been no improvement.
22:01Still seeing her over with you.
22:03Your allergy's been caught.
22:04Okay, guys.
22:04All these things end up in the hall, ladies.
22:07About time.
22:08Baby's been breaking down a bit more.
22:09Looks like it's a concern for the worst.
22:11Lamp seal.
22:12Refractory seizures.
22:13Help syndrome with anemia and throngocytopenia.
22:15About as bad as it gets.
22:17V-fed.
22:19Chest compressions.
22:20Nazal.
22:21Charged to 200.
22:24Prep the belly.
22:25Get a baby warmer.
22:27Call the NICU.
22:27Start a timer.
22:28Charged.
22:30Clear.
22:33Continue compressions.
22:34I'll check a rhythm in a minute.
22:37Get on up.
22:38Robbie, it's you and me.
22:39Nazely, what's the four-minute rule?
22:41I'm not sure.
22:44Pregnant patient with a viable fetus.
22:45You have four minutes after cardiac arrest to save the baby.
22:48And the mom.
22:49We don't call it a post-mortem C-section anymore.
22:52It's a resuscitated hysterotomy.
22:53It's our statement, bro.
22:54This doesn't want any mental intervention.
22:56That doesn't matter.
22:57Mom or baby are both dead if we do nothing.
22:59Okay.
22:59Charge to 200.
23:00One more rhythm check.
23:01And then Abbott and I are going to cut.
23:04Ellis.
23:04You and Cruz on mom's resuscitation shin.
23:06You and Nazan take the baby.
23:08Okay.
23:08No compressions.
23:11Still V-fed.
23:12Clear.
23:15No changes.
23:15No compression.
23:16Answer, Becky.
23:17Okay.
23:17Showtime.
23:18We need to get this baby out right now.
23:19Take a break.
23:22Okay.
23:25Good.
23:26First incision is from the xiphoid to the pubic symphysis.
23:30From the skin to the linear alba.
23:33Unis 3-4 on the infusion.
23:35Second incision goes to the peritoneum.
23:38Exposing the uterus.
23:40Where do you need me?
23:41Here with the baby.
23:43Nazan's got the bag mask.
23:44You're in such a stand-by for intubation.
23:46Flat air practice.
23:47Neonatal monitor and pulse box ready to go.
23:49Ellis.
23:49Gentle traction.
23:51Okay.
23:52Making a small vertical incision through the lower uterus so as not to cut the baby.
23:59Got it?
24:00Yep.
24:00I got it.
24:01Okay.
24:01Okay.
24:01Using scissors to extend superiorly.
24:06Ellis.
24:07Can't retract the uterus with me.
24:09Ambiotiple.
24:09Let's stretch.
24:12Give me some frontal pressure.
24:14Reach position.
24:18Baby's out.
24:20It's a girl.
24:23It's a girl.
24:24Milking the cord.
24:27Lamping.
24:30Ready?
24:31Okay.
24:32Blue and plastic.
24:33Coming to you, Shane.
24:33You ready?
24:34Yeah.
24:34You got it?
24:35Yeah.
24:37Yeah.
24:42Poor Tom.
24:43No movement.
24:44Take the blow-by closer.
24:46She's really blue.
24:48So blue is normal, but not this much.
24:51Do we need to intubate?
24:52Not yet.
24:52They usually pink up with stimulation and blow-by.
24:55Okay.
24:56We're moving the pacific.
24:57Sweeping to the left.
24:58Try to get in one piece.
25:01Looks intact.
25:03Can I stay done?
25:05Tent of IV.
25:05Pertocin and contract the uterus.
25:07And lots of massage.
25:09I'll reach 76.
25:10Less than 100 means we need a bath in section first.
25:16Enjoy the charge of 200.
25:18Stand by for the next rhythm check.
25:21She grimaced.
25:22Good sign.
25:22Baggy.
25:23This looks 45%.
25:26Never seen it that low.
25:27It's not as bad as it sounds.
25:29I'm more worried about the heart rate.
25:31Okay.
25:31Get ready with an eye in case we need a baggy.
25:33Okay.
25:36Show them check.
25:37Pull compressions.
25:39Still beefing.
25:40Okay, shock it.
25:41Clear.
25:43Resume compressions.
25:44Shane, how's she doing over there?
25:45Heart rate's up to 104.
25:47At one minute, she's zero for a couple.
25:49Fuller, two for heart rate, 140 flex tone.
25:51Breathing out for a five.
25:53Five out of ten.
25:54Not great.
25:55Just heart's 50 for serp.
25:57Intubation?
25:58Not yet.
25:59O2 sat in 60s.
26:00There's no more wonder.
26:01Her heart rate of pulse acts are turning higher.
26:03Let's keep doing what we're doing.
26:05Results need to have time.
26:06All compressions.
26:10Can't feel carotid.
26:13Heart's burn.
26:14Pumping is PEA.
26:15Backline compressions.
26:17Transfuse.
26:17Two more units.
26:18She needs more red cells and play with it.
26:19I'm going to bloodlust in the universe.
26:21Give me all the lifehands we got, please.
26:30Yeah.
26:31Okay, yeah.
26:32Thanks.
26:33I appreciate it, honey.
26:34Oh, gotta go.
26:36Whoa, whoa, whoa.
26:37Hold up.
26:38Is there a problem?
26:39Yeah, you two aren't leaving empty-handed.
26:42What?
26:44When are you following me?
26:47Red kids are supposed to be picked up within 72 hours of collecting them.
26:52This one's been here for over two weeks.
26:54That's not on us.
26:56Well, somebody.
26:58It's not bad enough these four women go through an assault plus the indignity of the whole collection process.
27:02But nobody from the police department even has the human decency to come get these things.
27:07Like, nobody there gives a plan for it.
27:09Okay, we got it.
27:09We'll see that these get put in the evidence problem.
27:20Units five and six are in.
27:21Down to a slow loose here.
27:22Full of compressions.
27:27Looks like sinus.
27:30And I got a weak carotid.
27:31Okay, cycle to DP.
27:32Better feeling.
27:33Better squeeze.
27:34We'll see the activity on the EEG.
27:36That's purpose.
27:37That's purpose.
27:37We're at five minutes.
27:39Heart rate is 132.
27:42Pulsox 79%.
27:42That's the way the apgar.
27:45One off her color.
27:47One off her tone.
27:48One off her respiration.
27:49The ketoxy a total of seven.
27:50Respiration scores for observed breathing at pulsox.
27:53That's how the baby is normal at five minutes.
27:54With no crying, she still gets well.
28:00Oh, she just scored the winning point.
28:03Apgar, the baby's pretty normal.
28:08Holy shit.
28:10What are they miss?
28:11Reclampsia with status.
28:12Health syndrome.
28:14Cardiac arrest.
28:15Resuscitative hysterotomy.
28:16I'm just going to go over the stuff that's in C-section.
28:19I have to text phone.
28:20I'm just going to go over the stuff that's in C-section.
28:22Resuscitative hysterotomy in 36 seconds.
28:24Impressive.
28:25BP's 102 over 64.
28:27I'm going to go up to nine.
28:28That'll do.
28:30Nick, you're standing in C-section.
28:31What do you take, Mom?
28:32You guys are off for it.
28:34You're pretty good.
28:35You're all ready for the night.
28:39If you're not careful, you're going to get stuck here all night.
28:42No.
28:42I said she'd be in 30 minutes.
28:44How small am I the baby?
28:46Whew.
28:47They're both going to go upstairs.
28:49Good.
28:50You leaving now?
28:51Yeah.
28:52Pretty soon.
28:53I got to sign Whitaker.
28:54I got to sign Al Sheeney.
28:56And I got to find Lincoln.
28:58You mislegged it.
28:59I just checked out.
29:04Shit.
29:06Shit.
29:07Shit.
29:28Can I help you?
29:30Uh, yeah.
29:31I'm Dr. Langdon from the ED.
29:33I was just, uh, checking in on the status of someone we sent off of earlier.
29:39Patient's name is, uh, Cohen?
29:41Let me check.
29:43What was she up here for?
29:44Uh, clean out of nasty neck fashion.
29:48Oh, yeah.
29:50She's good.
29:50She's in 4202, recovering nicely.
29:53Great.
29:55Great.
29:56I mean, she was, she was in not great shape right now.
29:59It was a good catch.
30:01Saved her life, even if we couldn't save her life.
30:05Uh, was it below the knee?
30:08Unfortunately, it was above.
30:13Okay.
30:26My cell phone and the building managers.
30:29He can help if there's any emergencies.
30:31Uh, what kind of emergencies?
30:34Whatever.
30:35And follow up with Duke in a couple days?
30:37Yeah.
30:37Yeah.
30:38You, uh, you sure about this?
30:40I trust you, Whitaker.
30:42Great.
30:44Any questions?
30:45Uh, when are you back, exactly?
30:49You know, I'll text you.
30:50I'm trying to keep my dates kind of fluid.
30:53I think this is your ride.
30:55Yeah.
30:56Uh, yes.
30:57Uh, I promise I'll check in on your house tomorrow.
31:00Sounds good.
31:02Hey.
31:04Hey, Theo.
31:06You, you're not late, huh?
31:09Got there.
31:11Come on.
31:13Okay.
31:15She's been fussy all day.
31:17I think she's done another trick.
31:20Big guy, you ready to get funky?
31:24Yeah?
31:26Yeah.
31:27Yeah.
31:45Hey, any life picking in the elective?
31:50I don't know.
31:53Maybe I will go into geriatrics.
31:56It's a smart choice.
32:02I know that life can be challenging, especially when it doesn't work out the way you expected.
32:06Okay.
32:12I thought I would be married with two kids in college by now.
32:17Maybe have some property with a pawn.
32:20We can play hockey on it in the wintertime.
32:24And yet, look at me now.
32:26No wife, no kids, no pawns.
32:33It's never too late.
32:35Do you really believe that?
32:38Yeah.
32:39Only for me or for you two?
32:41Okay.
32:42See what you did there.
32:45Is that true or something you just said to make a point?
32:54Have you worked things out with your mom?
32:59We're not talking.
33:03I am sorry.
33:05I don't.
33:06I let it distract me.
33:09She was treating me like a child and I was letting her.
33:17Have a good trip.
33:20Please be safe.
33:23I need you here.
33:26Even if you can be a dick sometimes.
33:31Good luck.
33:33You too.
33:43Hey, I didn't think you were still here.
33:45I was just talking to the neurologist on call.
33:50And?
33:52We had a nice chat.
33:54She agrees I can work with double coverage.
33:57That's not her call to make.
34:00You can't do anything critical if you're a five-second mass of consciousness that could potentially kill a patient.
34:06I agree.
34:11But 90% of our patients don't require critical procedures.
34:13And what's it do?
34:15Will be handled by whomever's working with me.
34:18Unless they're also tied up with a critical patient.
34:20What if it's a double or triple trial?
34:21Robbie, I can handle it.
34:22No, you can't.
34:23And I can't let you.
34:25I'm fully capable.
34:26No, you are not fully capable.
34:28And you know it.
34:33What do you want from me?
34:34I want what's best for this department.
34:35Patients and staff.
34:37Best case scenario.
34:38You get a handle on this.
34:39You're seizure-free for six months.
34:41You get a driver's license back.
34:42You are cleared to work.
34:43I am cleared for my driver's license.
34:45You shouldn't be driving at all like this.
34:48If you were a patient, we would have to report you.
34:50I'm not your fucking patient.
34:51No, but I cannot let you work in my emergency department
34:54until you are fully capable of doing so.
34:56That is not your fucking call.
34:58You're fucking right.
34:58That's my call.
34:59I'm trying to protect you and my patients.
35:01And...
35:06You didn't rat out Langdon for stealing fucking drugs.
35:09But I kicked him out of this department
35:11until he got the appropriate help that he needs.
35:13And the same goes for you.
35:15You've got until Monday to let the administration know.
35:17I will.
35:18I will.
35:24I am finished.
35:26Last charge.
35:29Give me a buzz.
35:30Hmm?
35:31This is in.
35:32I finished a while ago.
35:33Oh, boy.
35:34I hear that fucking bell again.
35:40Where is Dana?
35:41Not sure.
35:42A bunch of day shift just headed to the roof
35:43to watch the fireworks.
35:45You want me to call?
35:46No, that's okay.
35:49Yo.
35:50Thanks for your help in there.
35:54Almost out?
35:55Yep, just about.
35:59Just when you're trying to talk me on a good one.
36:00Me?
36:01No.
36:02Not a chance.
36:03Why?
36:04You have a second thought?
36:04Nope.
36:05Nope.
36:05Nope.
36:07Not to convince me.
36:09And it is a little strange.
36:10The only place you talked about going is
36:11somebody used to drive Buffalo off a cliff to go.
36:13Yeah, I looked it up.
36:14And as far as summer vacations go,
36:16it's not exactly a holiday hotspot.
36:18I mean, what's in the fucking gift shop, man?
36:21It's just one place we go.
36:22As long as it's not the last.
36:24Don't be pulling a thumb on Louise out there.
36:26I had minutes for taking a three-month vacation.
36:28It was the last time it took any time to watch it.
36:30Yeah, but I've dealt with my demons.
36:32It's a process.
36:35You want to know why I never killed myself?
36:38After what I saw lived through.
36:41Losing my leg.
36:43Losing my life.
36:46Because it comes for all of us, man.
36:48You and I know it more than most.
36:50We see it every shift.
36:51But we can't let ourselves succumb to it.
36:54Yes, life can suck.
36:57It can be unbearable and brutal and ugly and heartbreaking.
37:04But it's also beautiful.
37:07And hilarious.
37:08And that woman today.
37:13Her baby, they both be the one if you hadn't been here.
37:17That's us.
37:18That's you and me.
37:19That's what we're here for.
37:21The most important things I've ever done in my life.
37:24I've been in this hospital.
37:27Nothing will ever matter more than what I've done in this hospital.
37:30But it is killing me.
37:34You know how they say that a part of you dies when you lose someone you love?
37:38I'm not convinced that a part of you doesn't die every time you see a fellow human pass.
37:42And I've seen so many people die.
37:46That I feel like it's leeching something from my soul.
37:51Go on a cruise, man.
37:56Knock off this helmetless motorcycle shit.
37:59Yeah.
38:00People talk.
38:01That's death wish behavior.
38:02I'm tired of feeling like you can't get ahead.
38:05I'm tired of feeling like I'm driving every day.
38:07I'm tired of all of it.
38:08But you need to get away for a while.
38:10You need to get some help.
38:11You need this place as much as it needs you.
38:19Am I fucked up?
38:21One hundred percent.
38:26But nobody works here as long as you and me and doesn't get screwed up.
38:30You gotta find somebody to help you dance through the darkness.
38:39Did you just move on?
38:43Maybe it's a song there?
38:45I don't know.
38:45Maybe right there if it's a...
38:46I don't know.
38:51So, dude, just go back out.
38:52Looks like you blew half his face off.
38:57How can you not learn this place?
39:01Look, don't make me look stupid.
39:05You come back to us in one piece.
39:10I'm still your emergency contact, and I do not want to be contacted.
39:17All right, Nightcrawler, what's all going on out here?
39:19Okay.
39:36And we worked around today.
39:38We worked for a shorted family and split sü Прямh.
39:43We worked for a long time.
39:44We are having a work.
39:47We worked for lunch every day.
39:51We worked for lunch every day.
40:06Now, we are so happy to.
40:54More than 2,000 years ago, the Chinese were throwing bamboo in the fire to make explosions.
41:00They went on to invent gun power and boom!
41:03The rest is history.
41:06They had chemicals to get the different pellets, you know?
41:09Sodium gives you yellow, strontium gives you red, and barium is green.
41:14Who knew chemistry could be so damn pretty?
41:44It was a good thing to do.
41:44So that's how we tried.
41:44Let's go.
41:57I mean, what a lot of destruction is coming.
42:04I think it's hard to do.
42:27Hey, hey, I thought you left already.
42:30I'm on my way out.
42:31Hey, I'm sorry.
42:33I'm sorry that I didn't find the time today to have that conversation.
42:36Yeah, that's all right.
42:37Seems like you didn't really want to.
42:39I didn't.
42:43Did you?
42:48Yeah, actually.
42:51Look, I'm doing the work.
42:53I've been sober 186 days.
42:56I'm going to meetings.
42:56I'm taking the drug tests.
42:58And you're still rioting me.
42:59Mike, what would happen if I paralyzed that guy?
43:07I don't know.
43:08What would happen if I hadn't been here today?
43:10You'd still be questioning yourself.
43:11Now you know you can do it.
43:12You're welcome.
43:13Also, that's how you teach them?
43:15Sometimes.
43:16You know when I saw her, yeah?
43:19I saw a bunch of guys just like you.
43:21The only difference is they've accepted that they need help.
43:26I think you're afraid to admit that the mighty Dr. Abinavich isn't perfect.
43:31Oh, I never thought he'd be perfect.
43:34But you expect it of yourself.
43:36And it's not realistic, man.
43:38How can any of us live up to your standards if you can't even do it?
43:44You need help, Robby.
43:47You need help.
43:53You don't got to be honest with me, man.
43:56At least be honest with yourself.
44:13She is due for a new bottle.
44:15I was hoping to get her some formula before I clogged up.
44:20I'll stay with her.
44:22Thanks.
44:26Why are you...
44:27Will you hit those lights on the way out?
44:28Yeah.
44:29Why are you crying?
44:31Why are you crying, little one?
44:34You're okay.
44:35You're safe.
44:36Yeah, I don't know.
44:45Yeah.
44:47You're okay.
44:48Do you need to be swallowed again?
44:51Is that it?
44:57I wish somebody would swallow me.
45:01Yes, I do.
45:08God, that's kind of a little start.
45:11Didn't you, that one?
45:14Yeah, you did.
45:18Well, that makes two of us.
45:25I feel abandoned, too.
45:30How was it?
45:36But I got through all of that.
45:39And so will you.
45:41I've got a good feeling that you're going to be just fine.
45:46Everything's going to be just fine.
45:49You've got so many wonderful things to see.
45:52And so many people to love ahead of you.
45:57And so many wonderful things to see.
46:02People to love ahead of you.
46:04I want to be just fine.
46:12I want to be just fine.
46:14I want to be just fine.
46:17And I'm still here.
46:20And I'm still here.
46:21I want to be okay.
46:26It's okay.
46:27Oh, I don't know, I don't know
46:45I want you to know
46:49I'm happy for you
46:53I wish nothing but the best for you
47:01An older version of me
47:05Is she perverted like me
47:07But she goes down on human
47:09I hate her
47:11Does she speak eloquently?
47:14And once you have your baby
47:16I'm sure she may go really excellent for her
47:20Cause I love what you hate from me
47:23And I'm afraid you've broken my
47:27You know
47:30And every time you speak her name
47:33The struggle is over
47:34Till you die
47:36Till you die
47:37And I'm afraid
47:40To the fire
47:42And you
47:43I'm afraid you're upset
47:45And you ain't afraid
47:47It's just me
47:50To do nothing
47:52Cause I got my friends
47:55I'm too big to make you
47:57You, you, you
47:58I know
47:59I know
48:08들어가
48:08To the fire
48:10That's real
48:12I know
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